KYLE BOUDREAU (P.T.) – Physical Medicine & Rehabilitation Physician, NPI 1336594282

Physical Medicine & Rehabilitation Physician

KYLE BOUDREAU (P.T.) is a healthcare provider. based in Crete, Illinois. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials P.T.. They hold a License No. 070020042 (IL). The NPI Number for KYLE BOUDREAU (P.T.) is 1336594282

Main info

Male

13 Years Of Experience

Accepts Medicare Assignment

Name

KYLE BOUDREAU (P.T.)

NPI

1336594282

Phone

(708) 367-8050

Address

1397 Main St Ste A

Enumeration Date

28 April 2016

Last Update Date

4 August 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8159288357

Graduation Year

2013 (13 years ago)

PAC ID

3971893504

Group Practice PAC ID

2567372931

Professional Enrollment ID

I20160609001193

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience49

Completeness75

Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for KYLE BOUDREAU (P.T.)

1397 Main St Ste A
Crete, IL 604172951
Phone: (708) 367-8050
Type: Location
1511 N Convent St
Bourbonnais, IL 60914
Phone: (815) 401-5102
Fax: (815) 401-5103
Type: Location
557 MAIN ST NW
BOURBONNAIS, IL 609142305
Phone: (815) 839-2090
Fax: (815) 209-9304
Type: Location
North Convent Street, Bourbonnais, Kankakee County, Illinois, 60914, United States
BOURBONNAIS, IL 609141470
Phone: (815) 401-5102
Fax: (815) 401-5103
Type: Mailing
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 106055224
Phone: (914) 294-4050
Fax: (815) 401-5103
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60417)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2567372931View full group profile

Name	Specialty	State
KATHARINE M ALBRIGHT (PT, DPT)	-	IL
NICHOLAS A I NEWMAN (DPT)	-	IL
HEATHER THOMPSON (PT)	-	IL
JOSHUA HOFFSTADTER	-	IL
DR. MICHAEL LEE JACOB RANDO (DPT)	-	IL
BETHANY ESTELLE PEARSON (PT)	-	OH
BERNADE BUENA	-	IL
LOGAN N NIERZWICKI (PT)	-	IL
MEGAN AVALLONE (MOT)	-	IL
JANETTE C GUMABONG (PT)	-	IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is KYLE BOUDREAU (P.T.) identified in CMS data?

CMS-hosted NPPES data lists KYLE BOUDREAU (P.T.) with NPI 1336594282.

Can I rely on KYLE BOUDREAU (P.T.) being an active provider?

As of the registry snapshot, KYLE BOUDREAU (P.T.) is marked active.

What taxonomy line describes KYLE BOUDREAU (P.T.)?

For research purposes, treat KYLE BOUDREAU (P.T.) as Physical Medicine & Rehabilitation Physician in this dataset. Clinical services aligned with this taxonomy classification.

Where is KYLE BOUDREAU (P.T.) based?

KYLE BOUDREAU (P.T.) is tied to Crete, Illinois in the data we show; additional addresses may exist on the full record.

Is the information about KYLE BOUDREAU (P.T.) up to date?

Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."